The document discusses the future of mental health and technology, including: - Technology may help address challenges in healthcare systems but also presents pitfalls if not implemented carefully. - The roles of health professionals and patients may change as technology becomes more integrated in care, requiring new skills. - Data and information from various sources can provide insights if analyzed properly, but also raise privacy and security concerns. - Future health systems will rely more on knowledge management and using data/analytics to provide personalized, predictive care while maintaining the human touch.

1. The Future Interface of mental health and
technology: high care and high touch
Professor Steven C. Boyages
The university of Sydney, Wednesday 19th October 2016
World federation for mental health international conference, cairns Australia

2. • The Challenging Health Care System: Is Technology a
solution
• The Promise and Pitfalls of Technology
• Will the role of the health professional change and
that of the consumer/patient change in this new
world
• Understanding Data and Information
• Connected or Disconnected Health
Agenda

3. Constants of Health
TO RECHON him who taught me this Art equally dear to me as my parents, to share my
substance with him, and relieve his necessities if required; to look up his offspring in the
same footing as my own brothers, and to teach them this art, if they shall wish to learn it,
without fee or stipulation; and that by precept, lecture, and every other mode of
instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers,
and to disciples bound by a stipulation and oath according the law of medicine, but to
none others. (Hippocrates 460-370 BC)

4. Health is a knowledge based profession
• Research
• Development
Generate
Knowledge
• Education
• Training
Impart
Knowledge
• Care
• Prevention
Apply
Knowledge

5. Health Services are about..
Care
Communication
Collaboration
Coordination
Clinical Care
Models

8. Gartner Viewpoint:
Through 2020, tensions in the
healthcare industry will be very high
in most countries due to:
The extreme pressures on cost,
demand/access and supply
The magnitude and pace of change
The large investments required.
The need to reinvent services
approaches and cut costs at the same
time.

9. Bridging the Gap: Is Health Information
Technology the Answer?

10. Objectives of Investment in IT
1. Improve patient
experience
2. Improve patient
safety
3. Improve provider
experience
4. Create value for
money

11. The Two Hype Cycle Views
of the Electronic Health Record
Technology
Trigger
Peak of
Inflated
Expectations
Trough of
Disillusionment Slope of Enlightenment
Plateau of
Productivity
time
expectations
Positive
Hype
Negative
Hype
Usability Value
Source: Gartner, 2013

12. Early Investment Strategies
1. Build a big database
2. Technology driven not workflow driven
3. Focused on finance, pathology and
radiology systems
4. Few clinical systems
5. Community based systems and mental
health systems last

13. Function
Impact
Minimal
Full
Availability of Products
2020+2012200519981993
Generation 1:
The Collector
Generation 2:
The Documentor
Generation 3:
The Helper
Generation 4:
The Colleague
Generation 5:
The Mentor
Electronic Health Records:
Generations Model
Today
Source: Gartner, 2013

14. High Touch
High
Tech
Team and
Workflow
Platform
Technology
Platform
The Nature of Health Work

15. What’s driving the next
generation of EHR

16. New Technology Triggers
The Nexus of IT Forces:
Social, Mobile, Cloud & Big Data/Information
Source: Gartner, 2013

17. Pace-Layering:
Structure for Innovation
Systems of Record
Systems of Differentiation
Systems of Innovation
Common
Ideas
New
Ideas
Source: Gartner, 2013

18. Next Generation EHR/EMR

19. What does it take to be a digital health
professional?
The changing role of the health
professional in the digital age
Efficacy and security of technology
implementation to ensure patient safety
Managing clinical, reputational and
financial risks in the digital age

20. Pitfalls

21. Information
Someone somewhere is capturing and storing

22. Nearly every transaction or interaction leaves a
data signature

23. Efficacy and security of technology
implementation to ensure patient safety
1. How do we protect our patients in this
age of technology?
2. How do clinicians understand enough
of the problem to avoid risks
3. How do we assure patient privacy
4. A day does not go past without a
major cyber attack on large
enterprises? How do we avoid these in
health systems?
5. Digital health identity theft?

24. Managing clinical, reputational and
financial risks in the digital age
1. What are the risks?
2. Are they overrated or
underestimated?
3. First do no harm now has a new
meaning in health
4. Should we embrace social media?
5. How do we mitigate the risks?

25. Will the role of the health professional change
and that of the consumer/patient change in
this new world
1. If so, what new skills will the health
professional and our patients need
to acquire?
2. How will we develop those skills?
3. Will Dr Tech ever replace the
human doctor?

27. Function
Impact
Minimal
Full
Availability of Products
2020+2012200519981993
Generation 1:
The Collector
Generation 2:
The Documentor
Generation 3:
The Helper
Generation 4:
The Colleague
Generation 5:
The Mentor
Health and Clinical ICT
Becomes the Challenge of
Knowledge Management
Today
Source: Gartner, 2013
Tomorrow:
Awareness,
Action, Agility

28. Data, Big Data and Information

29. Sheer scale has far exceeded human
sense-making capabilities

30. At these scales patterns are often too subtle and relationships
too complex or multi dimensional to observe by simply looking
at the data

31. Data mining is a means of automating the
process to detect interpretable patterns

32. It helps us see the forest without
getting lost in the trees

33. Google trends, Google analytics
Using Data
11/7/2016 33

34. Google Trends Michael Jackson
11/7/2016 34

35. Google flu trends

36. Eating Habits
11/7/2016 ©2011 HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY 36

37. Your personality can be predicted
11/7/2016 ©2011 HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY 37

38. Facebook can predict your breakups

39. The Internet of Things….
And Everything
39
Location of
equipment
Availability &
location of
staff
Location and
condition
data on the
patient
Source: Gartner, 2013
Patient Throughput and
Capacity Management

40. The Next Level:
Health Intelligence Systems
Definition
 Responsive
 Agile
 Available
 Flexible
 Timely
Real time
Near Real time
Capability
Patient Care
 Safety
 Decision support
 Outcomes Research
 Patient Logistics
Performance Management
 State
 Area based
 Hospital/cluster/network
 Modality (scheduling)
 Bedside
40

41. Predictive, planning
analytics
Visualization
Level of Business Impact
BI/Analytics Shifts Gears
Just as Clinical Data Emerges
Ad hoc query,
OLAP, data mining
Skill
Levels
Required
Reporting,
dashboards
Prescriptive
process
optimization
Information
Patterns
What will
happen?
Why did it
happen?
What happened?
What should
happen?
Retrospective Concurrent Prognostic
Source: Gartner, 2013

42. New methods of scientific inquiry
Big Data
Big
Question
11/7/2016 42

43. 43

44. New Technology Triggers
The Nexus of IT Forces:
Social, Mobile, Cloud & Big Data/Information
Source: Gartner, 2013

45. We need to embrace social media

46. What’s Next?:
Patient-Facing ICT Explodes
Source: Gartner, 2013
Care Coordination Applications
“Quantified Self” Applications
Patient Engagement/Portals

47. apps4nsw collaborative
solutions for Health

48. The Accu-Chek Connect system combines three products into one system.
Accu-Chek Connect System
Accu-Chek Aviva
Connect BG Meter
Accu-Chek Connect
App
Accu-Chek Connect
Online System

58. Constants of Health
TO RECHON him who taught me this Art equally dear to me as my parents, to share my
substance with him, and relieve his necessities if required; to look up his offspring in the
same footing as my own brothers, and to teach them this art, if they shall wish to learn it,
without fee or stipulation; and that by precept, lecture, and every other mode of
instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers,
and to disciples bound by a stipulation and oath according the law of medicine, but to
none others. (Hippocrates 460-370 BC)

59. High
Tech
High
Touch

60. High Touch
“I tell them that their first reflex should be to look
at the patient, not the computer,” Dr. Heineken
said.
And he tells the team to return to each patient’s
bedside at day’s end. “I say, ‘Don’t go to a
computer; go back to the room, sit down and listen
to them. And don’t look like you’re in a hurry.’ ”